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PERMIT <br /> dITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 F -`>.N Vi t.: <br /> Crystal Bay, Minnesota 55323 Permit Number: 7C-.C. <br /> (612) 473-7357 Date Issued: _ <br /> SITE ADDRESS: <br /> A TFPT';►N RD <br /> S,# <br /> P` I. . f'J C) 117 i:y— '_'— is <br /> DESCRIPTION: <br /> a <br /> r-t <br /> REMARKS: <br /> FEE SUMMARY: <br /> 1-ase Fee <br /> ._._-...,.......»._ �. <br /> CONTRACTOR: - iPP-= i L W, T - OWNER: <br /> 'tls:t3 `' i[: nl% •(s`- —.liE€— #—� — -r Y--- _ ;'� _ 3—t:.";' <br /> 2-`;3 f 7 t ;AVE IV; E '_-i`_'1` �[1 _�t_1`•i�j�.'J::I; �t1 3 <br /> . #i t4`d�v`.r•}'{-�L.— IRNA.:j;� VIN <br /> '[ E VNNR <br /> L= 571 I � 4 � i � .+T+� ` � ts ; . T« i' �' `i �1 "' y, <br /> SPF : EIS AND, AGRE T� DD ALL Wf T Z �` I„ IIrE V I 'I Lt. "I T' .# F <br /> I�I#[rll�t # DI€ At�if' t ND ��ATIri' 1F .I'�II ��DT� �1�� ����;� t�I��NT�• <br /> : <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />